| South Georgia Pediatrics, P.c. | |
|
1230 Brampton Ave Statesboro GA 30458-0849 | |
| (912) 489-5437 | |
| (912) 489-5550 |
| Full Name | South Georgia Pediatrics, P.c. |
|---|---|
| Speciality | Specialist |
| Location | 1230 Brampton Ave, Statesboro, Georgia |
| Authorized Official Name and Position | Rao Tulasi Immaneni (CEO) |
| Authorized Official Contact | 9122470409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Pediatrics, P.c. Po Box 1039 Statesboro GA 30459-1039 Ph: (912) 489-5437 | South Georgia Pediatrics, P.c. 1230 Brampton Ave Statesboro GA 30458-0849 Ph: (912) 489-5437 |
| NPI Number | 1578797627 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578797627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APPLIED FOR (Georgia) | Secondary |
| 174400000X | Specialist | 044756 (Georgia) | Primary |
East Georgia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459 Phone: 912-764-2273 | |
Smith & Purvis Family Practice Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Northside Dr E, Suite 200, Statesboro, GA 30458 Phone: 912-764-9684 Fax: 912-489-8676 | |
Gastroenterology Institute, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Brian A Moogerfeld Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1088a Bermuda Run, Statesboro, GA 30458 Phone: 912-681-7111 Fax: 912-871-7794 | |
Kendall M Griffith Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Rushing Ln, Statesboro, GA 30458 Phone: 912-243-9274 | |
Burke Hospital Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1058 Bermuda Run, Statesboro, GA 30458 Phone: 912-542-0444 Fax: 833-639-1102 | |
Family Health Care Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23702 Highway 80 East, Statesboro, GA 30458 Phone: 912-489-4090 Fax: 912-764-5028 |